The Institute of Chartered Accountants of India
POST QUALIFICATION COURSE IN INSURANCE AND RISK MANAGEMENT
Technical Examination, June, 2014
(Under Regulation 204 of the Chartered Accountants Regulations, 1988)
Last Date : 24th February, 2014 (Without late fee)
Cost of Application Form : Rs100/- 3rd March, 2014 (With late fee of ` 500/-)
NOTES FOR INFORMATION AND GUIDANCE OF APPLICANTS
Candidates are advised to carefully read, understand and follow the
(1) Dates of Examination 3rd, 5th, 7th and 9th June, 2014
(2) Timings of Examination 2.00 p.m. to 5.00 p.m. (IST)
(3) Subject : 1
Module - I Principles and Practice of Insurance
Module - II Technical Aspects of Insurance
Module - III Risk Management and Reinsurance
Module - IV Business Strategic Planning & Information Technology
(4) Last date for receipt of 24th February, 2014 (Without late fee)
application at the Institute's 3rd March, 2014 (With late fee)
Headquarters at New Delhi. (Application received after 3rd March, 2014 will not be entertained under any circumstances.
Therefore, candidates sending their application by Post must send the same at least 3-4 days in
advance of the last date and avoid sending it on the last date for receipt of application forms).
(5) Examination Fee 1000/- (Rupees One Thousand Only) without Late Fee
(Note : Candidates are advised 1500/ (Rupees One Thousand Five Hundred Only) with Late Fee
not to send any fee other than 100/- (Rupees One Hundred Only) extra if the examination form is downloaded
examination fee along with the from Institute's website.
Examination Application Form)
(6) Mode of Payment of Fee The Examination Fee should be paid only by way of Demand Draft which may be of any
Scheduled Bank.
Drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" and
should be payable at New Delhi only.
Candidates are advised to furnish the following details on the reverse of the Demand Draft in
their own interest.
Name
IRM Registration No.
Examination Application form No.
Centre Opted
(7) Filling up of Admit Card
the Examination Department alongwith the examination form.
(8) Examination Centres 1. Agra 27. Bhiwani 53. Guwahati 79. Kollam 105. Palghat 131. Sirsa
2. Ahmedabad 28. Bhopal 54. Gwalior 80. Kota 106. Pali Marwar 132. Sivakasi
3. Ahmednagar 29. Bhubaneswar 55. Hisar 81. Kottayam 107. Panipat 133. Solapur
4. Ajmer 30. Bhuj 56. Hubli 82. Kozhikode 108. Panvel 134. Sonepat
5. Akola 31. Bikaner 57. Hyderabad 83. Kumbakonam 109. Patna 135. Sri Ganganagar
6. Alappuzha 32. Bilaspur 58. Indore 84. Kurnool 110. Patiala 136. Srinagar
7. Aligarh 33. Chandigarh 59. Jabalpur 85. Latur 111. Pimpri-Chinchwad 137. Surat
8. Allahabad 34. Chennai 60. Jaipur 86. Lucknow 112. Pondicherry 138. Surendranagar
9. Alwar 35. Chittorgarh 61. Jalandhar 87. Ludhiana 113. Pune 139. Thane
10. Ambala 36. Coimbatore 62. Jalgaon 88. Madurai 114. Raipur 140. Thiruvananthapuram
11. Amravati 37. Cuttack 63. Jammu 89. Mangalore 115. Rajamahendravaram 141. Thrissur
12. Amritsar 90. Mapusa (Goa) 116. Rajkot 142. Tinsukia
38. Dehradun 64. Jamnagar
143. Tiruchirapalli
13. Anand 39. Delhi/New Delhi 65. Jamshedpur 91. Margao (Goa) 117. Ranchi 144. Tirupati
14. Asansol 40. Dhanbad 66. Jhansi 92. Mathura 118. Ratlam 145. Tirupur
15. Aurangabad 41. Durg 67. Jind 93. Meerut 119. Rewari 146. Tuticorin
16. Bangalore 42. Durgapur 68. Jodhpur 94. Moradabad 120. Rohtak 147. Udaipur
17. Bareilly 43. Ernakulam 69. Jhunjhunu 95. Mumbai 121. Rourkela 148. Udupi
18. Bathinda 44. Erode 70.. Kaithal 96. Muzaffarnagar 122. Saharanpur 149. Ujjain
19. Beawar 45. Faridabad 71. Kakinada 97. Mysore 123. Salem 150. Vadodara
20. Belgaum 46. Fatehabad 72. Kannur 98. Nagpur 124. Sambalpur 151. Vapi
21. Bellary 47. Gandhidham 73. Kanpur 99. Nanded 125. Sangli 152. Varanasi
22. Berhampore 48. Gandhinagar 74. Karnal 100. Nashik 126. Sangrur 153. Vellore
23. Bharuch 49. Ghaziabad 75. Karimnagar 101. Navsari 127. Satara 154. Vijayawada
24 Bharatpur 50. Gorakhpur 76. Kishangarh 102. Nellore 128. Shimla 155. Visakhapatnam
25. Bhavnagar 51. Guntur 77. Kolhapur 103. Neemuch 129. Sikar 156. Warangal
26. Bhilwara 52. Gurgaon 78. Kolkata 104. Noida 130. Siliguri 157. Yamuna Nagar
(9) How the application form The application form together with Demand Draft for `1000/- or `1500/-, as the case may be, of
should reach the Institute? any Scheduled Bank be sent by Speed Post / Registered Post Only in the special envelope
attached to this Form to the Additional Secretary (Exams.), The Institute of Chartered
Accountants of India, ICAI Bhawan, Indraprastha Marg, New Delhi-110 002.
Candidates are advised not to send the application through courier.
Institute.
(10) A list of candidates eligible to appear for IRM Course Technical Examination June, 2014
will be hosted by the Committee on Banking, Insurance and Pension on the Website of the
Institute www.icai.org
Institute of Chartered Accountants of India, Indraprastha Marg, New Delhi - 110 002 so as to
Candidates may submit the Examination Application Form, pending receipt of Eligibility
Special Note: There will no change in the examination schedule even if any examination day is declared as a Public Holiday
by Central Government or any State Government.
(11) Admission to the IRM No. candidate shall be admitted to the IRM Technical Examination unless
Technical Examination
Insurance and Pension of the Institute.
(12) Issue of Admit Card (a) A list of Candidates to whom the Admit Cards have been issued
for the IRM Course Technical Examination will be hosted on the
Institute's website www.icai.org. from 5th May, 2014.
All correspondences in the above matter should be addressed to the
Additional Secretary (Exams.) of the Institute at New Delhi quoting
the following for prompt action.
IRM Regn. No.
Examination Application Form No.
Receipt No. Issued (if any)
Name of the Centre Opted
Telephone No.
Fax No.
E-mail
(b)
C-1, Sector-1, Noida should be contacted on Fax No. 0120-3054841 and
3054843.or on E-mail. : irm_examhelpline@icai.in
Helpline Desk telephone Nos. 0120-3054851, 3054852, 3054853, 3054854
3054836 and 3054842
(13) Record of answer book tendered The Superintendents of Examination Centres are being advised to issue
at the Examination Centre. receipt for the answer books handed over through the Invigilator in the
Admit Card.
Candidates are, therefore, advised to secure the signature of the Invigilator
concerned while submitting their answer books and retain the Admit Card
with themselves as record of receipt, at least till the declaration of result.
(14) Requirement for passing the IRM A candidate for the Insurance and Risk Management Technical Examination
Technical Examination shall be declared ordinarily to have passed the examination if he / she secures
at one sitting a minimum of 40% marks in each of the papers and 50% marks
in the aggregate of all the papers.
(15) Issue of Statement of Marks Statement of Marks will be issued to all the candidates who appeared in IRM
Technical Examination normally in two weeks' time from the date of declaration
of result.
(16) Check-list to ensure correctness of
enclosures to the Application giving all the required details and the following enclosures are annexed
securely.
Demand Draft for ........................................
Application Form
Admit Card with self attested photo
Self-addressed Envelope for sending
Admit Card.
Self addressed envelope for sending
statement of marks.
Address Slip
Before sending the application, candidates are requested to arrange serially
the pages of application keeping the demand draft, admit card and envelopes
on the Top of the Bunch.
(17) After declaration of result, a candidate may, if he/she so desires, apply for
verification of his/her answer book(s), necessarily in his/her own handwriting
within one month from the date of declaration of result. The verification fee is
` 500/-payable by way of a demand draft drawn in favour of Secrectary, The
Institute of Chartered Accountants of India, payable at New Delhi. There is no
standard application form for verification. Typewritten request will not be
entertained.
(18) Refund of fee The fee once paid by a candidate shall not be refunded / adjusted under any
circumstances except where a candidate applies to the Additional Secretary
(Exams) for the transfer of fee to the next Examination only, on the ground that
he/she was prevented from attending the Examination on account of
circumstances beyond his/her control and provided that application to this effect
is not received after fifteen days of the date of the Examination.
PLEASE NOTE:
a) Application should be complete in all respects, otherwise it is liable to be rejected.
b) In the event of furnishing any incorrect information / misrepresentation, the admission shall become invalid.
c) No correspondence in this regard shall be entertained.
INSURANCE AND RISK MANAGEMENT
Self Attested
Passport Size
Control No. Roll No. LATEST
PHOTOGRAPH
to be pasted here.
POST QUALIFICATION COURSE IN (Please do not staple)
Insurance and Risk Management Technical Examination, June, 2014
The Institute of Chartered Accountants of India
I. DEMAND DRAFT DETAILS
D D MM YEAR
1) DATE (Specimen Signature of the Candidate)
2) AMOUNT (Rupees) Downloaded Form Without Late Fee With Late Fee
3) DRAWEE BANK
4) DEMAND DRAFT NO.
5) PAYABLE AT N EW D E L H I
II. APPLICANT DETAILS (IN BLOCK LETTERS)
1) NAME (MR/MS.) :
(as appearing on
2) FATHER'S NAME (Shri)
of Membership) Attach a
3) CITY OF YOUR PROFESSIONAL ADDRESS
4) MEMBERSHIP NO. 5) GENDER MALE FEMALE
6) IRM REGISTRATION NO. D I R M / /
7) CENTRE OPTED
D D MM YEAR
8) ELIGIBILITY CERT. NO. & DATE OF ISSUE
9) ADDRESS FOR
COMMUNICATION
(IN BLOCK LETTERS)
CITY PIN
STATE
TEL. : STD CODE NUMBER
MOBILE NO. 0
10) E-MAIL ADDRESS
I request for permission to present myself for the Insurance and Risk Management Course Technical Examination to be held in June, 2014
conducted by the Institute of Chartered Accountants of India. I solemnly affirm that the above facts and information are complete and correct to the best of
my knowledge and belief. I also undertake to abide by the Chartered Accountants Regulations, 1988 framed by the Council for the guidance of candidates
appearing for the Insurance and Risk Management Technical Examination.
Encls.: 1. Demand Draft. Yes No
2. Copy of evidence of membership. Yes No
3. Admit Card Proforma. Yes No
4. Envelope for Admit Card. Yes No (Full Signature of Candidate)
5. Envelope for Statement of Marks. Yes No
6. Address slip. Yes No Date.......................................... P.T.O.
HOW TO FILL-IN FORM
I. 1. Kindly write the date of issue of demand draft.
2. Write amount of fee paid. Please also ( ) the relevant box. (Fee is `1000/- without
late fee and `1500/- with late fee. Please add `100/- if the form is downloaded
from the Institute's website).
3. Write name of the Bank.
4. Write number of the Demand Draft.
5. Demand Draft should be drawn in favour of "The Secretary, The Institute of Chartered
Accountants of India" and payable at New Delhi only.
II. 1. Kindly write your name exactly as recorded in the Register of Members i.e.
Membership Certificate..
2. Write the name of your father exactly as appearing in the Membership Certificate.
Married female members are to write Father's Name only.
3. Write the name of the place you belong to. The same will appear on the pass
certificate issued to all the pass candidates.
4. Write your membership number. Kindly take special care to write your correct
membership number.
5. Tick the appropriate box.
6. Supposing your registration number is DIRM/S/00718, Fill in like :
D I R M / S / 0 0 7 1 8
7. Write the name of a city from amongst the list of centres as given in Col.8 of "Notes
for Information and Guidance of Applicants: from where you wish to write the IRM
Technical Examination.
8. Write the No. and Date of Eligibility Certificate, as recorded on the Eligibility
Certificate issued to you by the Committee on Banking, Insurance and Pension.
9. Write your complete postal address, very clearly in Capital Letters for mailing Admit
Card, Pass Certificate, Correspondence, if any.
10. Write your E-mail address for our records / use.
11. Write your Phone No. also under your address in column No.9
Enclosures : Please attach (i) demand draft (ii) copy of evidence of being a member of ICAI
(iii) Admit card proforma (iv) Envelope for Admit Card (v) Envelope for Statement
of Marks and (vi) Address Slips.
Please tick in relevant boxes.
Address Slip Address Slip
(Please fill in Name & Address) (Please fill in Name & Address)
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
(Examination Department)
ICAI Bhawan, Indraprastha Marg, New Delhi - 110 002
IRM
LATEST ADMIT CARD (DUPLICATE) Roll No.
PHOTO IRM TECHNICAL EXAMINATION-JUNE, 2014
ONLY
Name of the Candidate .........................................................................................
self attested photograph
which should be pasted in Membership No. ...................................................................................................
this space and not merely I.R.M. Regn. No. ..................................................................................................
stapled. Centre : City : .......................................................................................................
Specimen Signature of the Candidate ..................................................................
Venue of the examination :
Additional Secretary (Exams.)
The Institute of Chartered Accountants of India
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
(Examination Department)
ICAI Bhawan, Indraprastha Marg, New Delhi - 110 002
IRM
LATEST ADMIT CARD Roll No.
PHOTO IRM TECHNICAL EXAMINATION-JUNE, 2014
ONLY
Name of the Candidate .........................................................................................
self attested photograph
which should be pasted in Membership No. ...................................................................................................
this space and not merely I.R.M. Regn. No. ..................................................................................................
stapled. Centre : City : .......................................................................................................
Specimen Signature of the Candidate ..................................................................
Venue of the examination :
Additional Secretary (Exams.)
The Institute of Chartered Accountants of India
Record of Answer Books tendered at the examination centre
Day & Date of Examination IRM Technical Name of the Signature of the Invigilator in
Afternoon Session Examination Invigilator confirmation of receipt of
(2.00 p.m. to 5.00 p.m.) (IST) Papers answer book
Tuesday Module-I
3rd June, 2014 Principles and Practice
of Insurance
Thursday Module-II
5th June, 2014 Technical Aspects of
Insurance
Saturday Module-III
7th June, 2014 Risk Management and
Reinsurance
Monday Module-IV
9th June, 2014 Business Strategic
Planning & Information
Technology
Special Note: There will be no change in the examination schedule even if any examination day is declared as a Public
Holiday by Central Government or any State Government.
Record of Answer Books tendered at the examination centre
Day & Date of Examination IRM Technical Name of the Signature of the Invigilator in
Afternoon Session Examination Invigilator confirmation of receipt of
(2.00 p.m. to 5.00 p.m.) (IST) Papers answer book
Tuesday Module-I
3rd June, 2014 Principles and Practice
of Insurance
Thursday Module-II
5th June, 2014 Technical Aspects of
Insurance
Saturday Module-III
7th June, 2014 Risk Management and
Reinsurance
Monday Module-IV
9th June, 2014 Business Strategic
Planning & Information
Technology
Special Note: There will be no change in the examination schedule even if any examination day is declared as a Public
Holiday by Central Government or any State Government.
Statement of Marks
SPEED POST
for 39/-
or
IRM as applicable
for speed post
from New Delhi
to your place
To
Pin
If undelivered please return to :
The Additional Secretary (Examinations)
The Institute of Chartered Accountants of India
"ICAI Bhawan", Indraprashta Marg
New Delhi - 110 002
SPEED POST
for 39/-
Admit Card - Insurance and Risk Management Technical Examination or
June, 2014 as applicable
for speed post
from New Delhi
To to your place
City Pin
State
The Additional Secretary (Examinations)
The Institute of Chartered Accountants of India
"ICAI Bhawan", Indraprashta Marg, New Delhi - 110 002
SPEED POST / REGISTERED
To
The Additional Secretary (Examinations)
IRM
The Institute of Chartered Accountants of India
ICAI Bhawan
Indraprastha Marg
New Delhi - 110 002
From :